POM - Wholesale supply Flashcards
What are the requirements for people trading in medicines? (3)
- hold a Wholesale Dealer’s Licence
- apply Good Distribution Practice (GDP) standards
- Have a “Responsible Person” named on the licence to ensure that medicines are procured, stored and distributed appropriately
Who requires a wholesale dealers license?
Wholesale dealers who supply medicines to other wholesale dealers or people who can supply medicines to the public
- So doesn’t include pharmacy sharing medications or supply to healthcare services e.g. hospital
Non-medical prescribers i.e. pharmacist prescribers cannot receive supply of medicines. True or false?
True
What Schedule in HMR is used to dictated what persons and organisation can recieve medicines by wholesale?
Listed in Schedule 17 or 22 of HMR
Who cannot recieve a wholesale of medicines and why not?
- Non-medical prescribers (e.g. pharmacist prescriber)
- They are not listed in Schedule 22 or 17 of the Human Medicines Regulations 2012 (HMR 2012)
Midwives may sell/supply all P and GSL medicines in the course of their professional practice. True or false?
True
Midwives may sell/supply POMs containing diclofenac. True or false?
True
What can midwives supply to patients in the course of their work?
- All GSL and P medicines
- POMs containing diclofenac, hydrocortisone acetate, miconazole, nystatin and phytomenadione
- Some parenterally administered POMs (e.g. adrenaline and diamorphine)
Midwives can administer certain parenteral drugs. True or false?
True
Midwives may administer morphine and diamorphine parenterally. True or false?
True
Optometrists may supply all P and GSL meds in the course of their professional practice. True or false?
True
What can optometrists supply in the course of their work?
- All GSL and P medicines
- In the case of an emergency:
- Eye drops up to 0.5% chloramphenicol (POM)
- Eye ointments up to 1% chloramphenicol (POM)
- POMs containing cyclopentolate HCl, fusidic acid, tropicamide
Optometrists can supply certain POMs but not parenterals. True or false?
True
Under what circumstance can a pharmacist supply POMs to patients sent by an opthalmic optician?
Signed order
What can a pharmacist supply under a signed order from an optometrist? (i.e. administration in their practice but not for sale or supply)
- All P medicines - POMs containing amethocaine HCl, lignocaine HCl, oxybuprocaine HCl and proxymetacaine HCl
Which POMs may be supplied or sold to a patient on the presentation of an order signed by an additional supply optometrist?
- In a emergency, certain POMs can be provided such asDiclofenac Na, Polymixin B/ bacitracin
When can additional supply optometrists supply POMs?
Emergencies - If provided with a valid signed order pharmacist can supply medicine to patient
Registered chiropodists can sell/supply any GSL to patients under what circumstance?
Provided the premises can be locked up and the medicine pre-packed
In the course of a registered chiropodist professional practice, i.e. visiting patient which GSLs can they supply?
P medicines for external use
In the course of their professional practice, which P meds can registered chiropodists sell/supply?
- Ibuprofen
- Postassium permangenate crystals/solution for external use
- Ointments of heparinoid and hyaluronidase 9.0% borotanic complex
- .Certains medicines containing only one ingredient e.g. Clotrimazole, Croramiton, Econazole.
Chiropodists have annotations in HCPC to indicate which medicines they can supply. True or false?
True
What can Chiropodist with “POM” annotation in HCPC register supply/ sell?
- Amoxicillin, erythromycin, flucloxacillin
- Co-codamol, Co-dydramol 10/500 tab, Codeine phosphate
- .Amorolfine HCl cream/ lacquer
- Tioconazole 28%
- Silver Sulfadiazine
- Topical hydrocortisone (1%)
What can Chiropodist with “local anaesthetic” annotation in HCPC register supply/ sell and what are the conditions?
- These chiropodists may administer: adrenaline, bupivacaine HCl and lignocaine
- The conditons - only original packs may be supplied
Paramedics can administer which medicines on their own initiative to sick or injured persons who need immediate treatment?
- Diazepam for injection
- Succinylated gelatin IV infusion
- Certain parenterals
Paramedics can administer parenterals containing streptokinase. True or false?
True
Paramedics can administer parenterals comtaining amiodarone. True or false?
True
Supply to schools can be made against a written order by headteacher and state. True or false?
True
What information must be provided in a written order signed by headteacher and state for wholesale supply?
- Name of school
- Purpose for which medicinal product
- required quant required (no restriction)
Does a POM record need to be made for a wholesale supply to a school?
Yes
Is it a legal requirement for written order for wholesale supply to a school to be on headed paper?
No
For wholesale dealing both the signed order needs to be retained and an entry in the POM register must be made for it to be legal. True or false?
False - either retain signed order or make an entry in POM register
If retaining a signed order for wholesale dealing, how long is it kept in pharmacy for?
2 years
There is legislation in place that states what needs to be included in signed order. True or false?
False
What information needs to be recorded in POM register?
- Date
- POM supplied
- Medicine info
- Name and address of person/business supplied to
- Reason for supply
What cannot be supplied to a patient directly even with a signed order?
Local anaesthetics
